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HomeMy WebLinkAbout02-0648COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: LANDIS MICHELE C 602 1 /2 MAGARO RD ENOLA, PA 17025 fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: ssN: 2oi-~a-z25~ FILE NUMBER: 2102-0648 DECEDENT NAME: MAGARO BEVERLY M DATE OF PAYMENT: 01 / 1 3/2003 POSTMARK DATE: 01 /1 1 /2003 COUNTY: CUMBERLAND DATE OF DEATH: 04/20/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 ~ 53,401.93 TOTAL AMOUNT PAID: REMARKS: CHECK# 2481 i / SEAL INITIALS: CW RECEIVED BY: DONNA M. OTTO 53,401.93 DEPUTY REGISTER OF WILLS REV-1162 EX(11-96) NO. CD 002036 REGISTER OF WILLS y ~ ~ .. i` i ~~, E . - r~:~ f i~o ~``,~ ,,; ~ ~:. _; c, a ~ `L ~v 9 ~- `~~~ada ' ~SCJ 'V v ~~ .. ~' f _. ~.~ r `5 N ti q ~ 4 ~ . L ~~~ ~ i v ~: «_ P~ ti 1! ~r~ ~i .ra r-_~. O. ~ VJ = N OOi11f1 •If7 (L.+ •N^177(`7 ro -+M^ •d Jf~ 1170 cn ~7 -ZOf Z Sc--~ ~ w ~o V I 1- N j r.-~ i ~ ~~ ~~ d w a o w ° F ~~N o ~ O H ~'i ~, M 1 O r ~--- t• ~. _~~~,, , ~_ ~~ r~; -, L c, ~~~~` ~.il ~. i ~ M ~ C 0 ~-!~ `~ ~ ~ ~ ~ ~ ~ ~v U .~ boo ~o~ a~ °' ~ a ~~ 'fi'r N O O ~ ~O W ~'~~i !•~ s~i ~~t i •r•t ~.~ '~ s COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: LANDIS MICHELE C 602 1 /2 MAGARO RD ENOLA, PA 17025 fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: SSN: tot-ts-2257 FILE NUMBER: 2102-0648 DECEDENT NAME: MAGARO BEVERLY M DATE OF PAYMENT: 07/18/2002 POSTMARK DATE: 07/17/2002 CouNTY: CUMBERLAND DATE OF DEATH: 04/20/2002 REV-1162 EX(11-961 NO. CD 001424 ACN ASSESSMENT AMOUNT CONTROL NUMBER 02128622 ~ 5427.87 TOTAL AMOUNT PAID: REMARKS: MICHELE C LANDIS CHECK# 5485 SEAL INITIALS: AC RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS 5427.87 REGISTER OF WILLS ~. r-' -~ , ~- '~ ~P- COMMONNEALTH OF PENNSYLVANIA APARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE REY-1543 E% AFP [Y9-33) FILE N0. 21 Oa-- GS~Z~ ACN 02128622 DATE 06-21-2002 MICHE4E ~~~`LANDIS 602 MAGARO ~D ENOLA `~ PA-17025-1912 TYPE OF ACCOUNT EST. OF BEVERLY M MAGARO ^ saviN6s S.S. N0. 201-18-2257 ® cHECKINs DATE OF DEATH 04-20-2002 ^ TRUST COUNTY CUMBERLAND ^ CERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 =~= _~ _, ~ ALLFIRST FINANCIAL SERVICES -= has provided the Departaent with the inforaation listed below which has been used in calculating th9;patential due Tri~j records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account.;I~ you feel Ss infdr-~~ion is incorrect, please obtain written correction frog the financial institution, attach a copy to this fors end return it to the atlb~f"address. This. account is taxable in accordance with the Inheritance Tax Laws of the Coaaonwealth of Pennsylvania. bastions aav be answered by calling (7171 787-8327. COMPLETE PART 1 BELOW * ~ * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0057215049 Date 08-28-1964 To insure proper credit to your account, two Established [2) copies of this notice oust accoapany your Payaent to the Register of Nills. Nake check Account Balance 20 124.04 , payable to: ^Register of Nills, Agent^. Portent Taxable X 5 0. 0 0 0 NOTE: If tax paysents are wade within three Amount Subject to Tax 10, 062.02 C3) aonths of the decedent's date of death, Tax Rate X , 1 rj you aay deduct a SX discount of the tax due. Any inheritance tax due will becoae delinquent Potential Tax Due 1 509.30 , Wino [9) aonths after the date of death. PART TAXPAYER RESPONSE ..... ~ ~`...v .:a'?:':'r:~:':~:.:§.:a::SS::.:S ~:. r:a' SR::Fl:::4aa::::~::4aaSa::::::a:_ rrrrr'.n..ci...__ ......................a... v..:: v:.:........................... .........a...v.r ... ... A. ^ The above inforaation and tnx due is correct. i 1. You aay choose to react payaent to the Register of n Wills with two copies of this notice to obta CHECK a discount or avoid interest, or you aay check box ^A^ and return this notice to the Register of t t f R Mills and an official assessaent will be issued by evenue. aen o the PA Depar 0 N E ~ C BLOCK B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N LY to filed by the decedent's representative. Tha above inforaation is incorrect and/or debts and deductions were paid by you. C . You oust coaplete PART ^ and/or PART ^ below. dacata a dafferant tax ate leas state your PART If you an , ~c c.lti~ dent: to dace ionshi .U slat P ~""~''``~~~'""'~'""'~'~~'~' ~ ~~'" ` ~ `"`° ~~~~~~`''d~'~ ~~~°~ ~= ....__ ....... ...... ~ ~:; ~::;3: ~~~'a~ =i~y~ .;~~a €~~~t,,. ~:~~,~: ::~: TAX RE TURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due ~1,~1 PART DATE PAID OF TAX ON JOINT/TRUST ACCOUNTS ~1~!~~~€~€ PAYEE DESCRIPTION AMOUNT PAID -O ~- Q L ~ U ~\. Y\ S3 ` Tare [. [Enfwr nn Lino, 5 of Tax Comoutation) $ L Undo penalties of perjury, I declare that the facts I have reported above are true, correct and complete o the bast of ay kn ledge and ief. HOME C-?11 ) ~}3~.5~~~- WORK ( ~,1 1 ~~ 3 !~-il¢-O TAXP S RE EPHON B R DAT /~- ~6 -°~ COMMONWEALTH OF PENNSYLVANIA BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION oEar. zaobai NOTICE OF INHERITANCE TAX HARRISBURG, PA 17126-0601 APPRAISEMENT ALLONANCE OR DISALLONANCE OF DEDUCTION, AND ASSESSMENT OF TAX ON REY-154E ElI AFP (01-027 JOINTLY HELD OR TRUST ASSETS DATE 11-19-2002 ESTATE OF MARGARO BEVERLY M DATE OF DEATH 04-20-2002 FILE NUMBER 21 02-0648 BOUNTY CUMBERLAND ~'~ ~ ~ -~ - `~SSN/DC 201-18-2257 MICHELE C LANDIS ACN 02128622 602 MAGARO RD Amount Reeitted ENOLA PA 170-.1912 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE - RETAIN LOMER PORTION FOR YOUR RECORDS ___~______________________ --------------------------------------------------------------------------------- REV-1548 EX AFP (01-02) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 11-19-2002 ESTATE OF MARGARO BEVERLY M DATE OF DEATH 04-20-2002 COUNTY CUMBERLAND FILE N0. 21 02-0648 S.S/D.C. N0. 201-18-2257 ACN 02128622 TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ALLFIRST FINANCIAL SERVICES ACCOUNT N0. 0057215049 TYPE OF ACCOUNT: ( ) SAVINGS ( ~ CHECKING ( ) TRUST C ) TIME CERTIFICATE DATE ESTABLISHED 08-28-1964 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due 20,124.04 NOTE: X 0.500 10,062.02 53.52 10,008.50 X .45 450.38 TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID 07-17-2002 CD001424 22.52 427.87 TOTAL TAX CREDIT 450.39 BALANCE OF TAX DUE .O1CR INTEREST AND PEN. .00 TOTAL DUE .O1CR IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) REVa500 Ex 18-00) COMMONWEALTH OF REV -15 0 0 ~F=ICIAL ~~~r ,~i,,~ ,, ~ ~ PENNSYLVANIA I ~ ' ~ ~ ~' ~ ___ DEPARTMENT OF REVENUE INHERITANCE TAX RETURN FILE NUMBER DEPT. 280601 HARRISBURG, PA 17128-0601 EDENT - ~ ~ - ~ ~ ~ ~ ~ RESIDENT DEC ~ E ~ N~Mat: DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Z Mme. ~.~ ~ ~.~ ~ ~ n ~ - ~ g - aa-s ~ W DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (M -DD-YEAR) THIS RETURN MUST BE FILED -N DUPLICATE WITH THE U ~ ~.~_~-a~ ~a - 3~_ ~Sa.~ REGISTER OF WILLS -- W (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER ~ ~1~ - - F ~ 1.Original Retum ^ 2. Supplemental Retum ^ 3. Remainder Retum (dace of dean pray to rz•~a•ezl Y ~ x ^ 4. Limited Estate ^ 4a. Future Interest Compromise (dare oraeam aaer iz-~z-ezl ^ 5. Federal Estate Tax Return Required ~ ~ m ^ 6. Decedent Died Testate IAnacn copy or w+nl ^ 7. Decedent Maintained a Living Trust lanacn copy or rruul _ 8. Total Number of Safe Deposit Boxes a a ^ 9. Litigation Proceeds Received ^ 10. Spousal Poverty Credit (acre or deem eenreeo ~z•3i•si and i-~-ssl ^ 11. Election to tax under Sec. 9113(A) (Anacn scn of ~ ,xTHISSECTION-MUS'C BECOMPLETED'_ALL CORRESPONDENCE AND;CONFIDENTIAL TAX:INFORMATION SHOULD BE DIRECTED TO: W Z Z NAME ~~;he l~ ~,h ~~~5 COMPLETE MAILING ADDRESS d ~ FIRM NAME trcaPpicawei n1c~ ~Oa ~~j~ \J ~"~O ~ U ~ PEA- ~`?a~s- I~1~-- o TELEPHONE NUMBER ~h0~~ , w ~~~ `-t~8~ ~ ~3a-ssa~ Z O Q J H G. Q U W Z Q a U 1. Real Estate (Schedule A) (1) f~ Off. 2. Stocks and Bonds (Schedule B) (2) Y~ b ~ , 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) Yl~ `~•- 4. Mortgages & Notes Receivable (Schedule D) (4) Y~e~~ 5. Cash, Bank Deposits 8 Miscellaneous Personal Property (5) t1e r~sL~ (Schedule E) 6. Jointly Owned Property (Schedule F) (6) ~1 O , Clcl ~~ ~ ~-- ^Separate Billing Requested 7. Inter-vvos Transfers & Miscellaneous Non-Probate Property (7) Y~ b t~2-- (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses 8 Administrative Costs (Schedule H) (9) S 3 0 S-. O O 10. Debts of Decedent, Mortgage Liabilities, 8 Liens (Schedule I) (10) 84•_ ~ ~ 11. Total Deductions (total Lines 9 & 10) 12. Net Yalue of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) OFFI (8) ~ b , ~i~i 1 , 0 ~---- c„) 5 3 R~,, ~;i (12) _ R ~, C;~e ~ , t o (13) D• b 0 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate _,q S r l~`1. l x.0 (15) x .o (16) ~~ ~ S ~ . 3 :3... x .12 (17) x .15 (18) 0 X 19. Tax Due l19) 5 ~ • ~ ~• • 20. ^ - - => > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < . ~ REV•1509 E%+ 111.881 SCHEDULE F COMMONWEAUH Of PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER cx- \ 1~ Joint tenant(s): ADDRESS (szOa- ~~~ ar-r, R-c~~~ NAME A. ~«ti~~ C ~.r~ ~~ B. C. RELATIONSHIP TO DECEDENT Jointly-owned property: ITEM NUMBE LETTER FOR JOINT TENANT .DATE MADE JOINT DESCRIPTION OF PROPERTY TOTAL VALUE OF ASSET DECD'S /o INT. DOLLAR VALUE OF DECEDENT S INTEREST i. ~. ~hz o~ C:~ne.c~-~v~C A~~r~- ao, 1 a~, n~ S~ °70 ~ o ~ o ~ a, o a-- \C~i~ Or J ~72C~\r~n~c~S ~ 4 °~- ~5 °v ~~ o S• 00 8 . S3 ~. ~ j;,l,~ ao, ~~:.~ I ~., ~~~o. ~ ~5~5 TOTAL (Also enter on line 6, Recapitulation) I $ S 0 , ~~1 , O~- (If more space is needed insert additional sheets of same size) REV~15~tE7(• pA1) ~ COMMONWEALTH OF PENNSYLVANIA INHERRANCE TAX RETURN SCHEDULE H FUNERAL EXPENSES ~ ADMINISTRATIVE COSTS ESTATE OF tT ,~n FILE NUMBER 1~ e.~ ex ~ ~.I ~ I ~\ ~ S, Cx,,~~ Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 4 \ 1. ~ .S v..\\~~ cy..Y\ ~vv\exw\ ~rnR~ SOr. ~v~nt,c ~~ 4.v~ ~ U'cic"~ Se.~ ~ \ ctiS e..~' \oc~--\ Y'~ ~~..t\{ 8 L-r(,-n. S Qo ~ ~'c~ ~1-~~`v\ CGS \u.t ~ , B. 1 State Zip Year(s) Commission Paid: 2. 3. C ~ ~cc'\S ~1 ~c~ ~rc,\ T~ocl. $¢,~co.~~.S ,P'C~ov. ~ ~o\\ov~`v\V .~vv\e.Yl~ ~~ ~ ~ c~ C.\~ cc.~ ADMINISTRATIVE COSTS: Persona! Representative's Commissions Name of Personal Representative (s) Soaal Security Number(s) I EIN Number of Personal Representative(s) Street Address Attorney Fees Fanuly Exemption: (If decedent's address is not the same as claimants, attach explanation} Claimant Street Address City State _ Relationship of Claimant to Decedent 4 Probate Fees $ Accountant's Fees 6 Tax Return Preparers Fees 7. S I oS . °° a eo, °O O~ TOTAL (Also enter on line 9, Recapitulation) ; 5 , ~ D ~. (If more space is needed, insert additional sheets of the same size) Zip ~ REV-IS1I EX+ (1-03( ry ~ COMMONWEAUM Of -ENNSYNANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS Please Print or FILE NUMBER ITEM DESCRIPTION AMOUNT NUMBER 1. ~ ~ Iv>_ ~~a-r~o~-~S1e~S i.~ • BEd 4x•-~Ct,~clCJl-, O~.x~ or S~~vSt.riQ~lo~ a 7,- '~~soc~4-~~ cr~~ ~~o\~ ~s a-3 Q~yS~c~G..r b~\~ r~ c~vcrw-~ 4~ \Y~SvcC~-rc~ ~e a 1, ~ ~c.~- h ~. C o. TOTAL (Also enter on line 10, Recapitulation) (!f more space is needed, insert additional sheep of same size.) as• od S 3 • si s ~j~l . ~~ ~--- RtV•1'!17 EX3 12•E7) '.~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF "?ITEM `° ~ NAME AND ADDRESS OF BENEFICIARY NUMBER B. Charitable and Governmental Bequests: ~1 AMOUNT OR SHARE OF ESTATE TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) $ (If more space is needed, insert additional sheets of same size) FILE NUMBER ITEM NUMBER yam. NAME AND ADDRESS BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE A. Taxable Bequests: 11 ~2.~- CC ~ ~ _/' f~ ~,L~.2. ~ C ~ ~~ ?J.s ~. . t ,. Date • Procedure Code Description Diagnosis Charge Credit Balance PREVIOUS BALANCE--> 25.00 Total Current 31-80 Days 61-90 Da s 91-120 Da s Over 120 Da s AmOUnt Due: $ 25.00 Insurance Balance S o . oo S O . oo S 0.00 S o . oo S o . 00 S o . o0 ASSOCIATED CARDIOL S Patient Balance $ 25 .00 S 25.00 S 0.00 S o . 00 S 0.00 S 0.00 856 CENTURY DRIVE PA 17055 MECHANICSBURG Account Balance __ S 25.00 , All billing questions can be made between L. Bruce Alttwuss, M.D., FACC (1941-1998) David L. Scher, M.D., FACF, FACC Andreas u. Wan, M.D., rACC the hours or 9:3o Ann ana a:uu ran. Donald C. Durbeok, M.D., FACC Joy C. L. Cotton, M.b., FACC. Miohael D. Bosek, M.D., FACC Jeffrey S. Fugate, D.O., FACC Ire Backman, M.D., FACC " Lenke Erki, M.D. For Billing Questions Cell: (717) 591-7122 Stuart B. Plnk, M.D., FACC, FSCAI Robert D. AronoB, M.D., FACC Stephen B. Sloan, M.D. For Toll Free Call: 1-800-845-1742 Kenneth J. May, Jr, M.D., FACC David C. Men, M.D., FACC Trecey Wuestkemp Sloan, MSN/CRNP Patient Name: Beverly Magaro Robert A. Skoln~M, D.O., FACC Edward C. Brennen, D.O., FACC RaJesh M. Dave, M.D. STATEMENT 1112 SEE REVERSE SIDE FOR IMPORTANT BILLING INFORMATION ~ Retain this portion for your records. ~ 2P t~+(:)~~A-~r:)Er4'7 C7t116/t]2 Us5/2~/C)` 1~.~-iu ~1-.~0-0.1-- AccounT Number BIII Date Expiration Date un Date Paid e atriot~~ews ~h Thank you for subscribing BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-D601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISENENT ALLONANCE OR DISALLONANCE OF DEDUCTION, AND ASSESSMENT OF TAX ON JOINTLY NELD OR TRUST ASSETS MICHELE C LANDIS 602 MAGARO RD ENOLA PA 17025-1912 REV-154! EX ~FP (81-02) DATE 11-19-2002 ESTATE OF MARGARO BEVERLY M DATE OF DEATH 04-20-2002 FILE NUMBER 21 02-0648 COUNTY CUMBERLAND SSN/DC 201-18-2257 ACN 02128622 Amount Rsnittsd MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS ___~______________________ ------------------------------------------------------------------------------------ REV-1548 EX AFP (01-02) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 11-19-2002 ESTATE OF MARGARO BEVERLY M DATE OF DEATH 04-20-2002 COUNTY CUMBERLAND FILE N0. 21 02-0648 S.S/D.C. N0. 201-18-2257 ACN 02128622 TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ALLFIRST FINANCIAL SERVICES ACCOUNT N0. 0057215049 TYPE OF ACCOUNT: C ) SAVINGS (X) CHECKING C ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 08-28-1964 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 20,124.04 NOTE: X 0.500 10,062.0?_ 53.52 ~--~~~ L 10 , 0 . ~ 0 ~l'nc~.l X . 45 to ~1 ~ 450.38 TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF TH?S NOTIrF WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID C-) AMOUNT PAID 07-17-2002 CD001424 22.52 427.87 ^ TOTAL TAX CREDIT 450.39 BALANCE OF TAX DUE .O1CR INTEREST AND PEN. .00 TOTAL DUE .O1CR IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND. SEE RF.VERSF STDE OF THTS FORM FOR TNSTRI1t:TIONS. 1 V ~~5~~' DEED THIS DEED, made the /D 77f l~'~1~~ ~ day o f -~irpri-~ 19 9 5 BETWEEN ANDREW E. MAGARO and BEVERLY M. MAGARO, his wife, as tenants by the entireties as to an undivided one-half interest and MICHELE C. MAGARO, now married and known as MICHELE C. LANDIS, their daughter, as to an undivided one--half interest, the respective holders of the undivided one-half interests shall be joint tenants with a right of survivorship and not tenants in common, all of East Pennsboro Township, Cumberland County, Pennsylvania, GRANTOR, AND ANDREW E. MAGARO and BEVERLY M. MAGARO, his wife, as tenants by the entireties as to an undivided one-half interest and MICHELE C. MAGARO, now married and known as MICHELE C. LANDIS, their daughter, as to an undivided one-half interest, the respective holders of the undivided one-half interests shall be joint tenants with a right of survivorship and not tenants in common, all of East Pennsboro Township, Cumberland County, Pennsylvania, GRANTEE, WITNESSETH, that the Grantor, for and in consideration of ONE DOLLAR ($1) lawful money of the United States of America, to the Grantor in hand well and truly paid by the Grantee, at or before the sealing and delivery of these presents, the receipt whereof is hereby ac]inowledged and the Grantor being tYierewitt~ fully satisfied, does by these presents grant, bargain, sell and convey unto the Grantee forever, ALL that certain piece or parcel of land, situate in East Pennsboro Township, Cumberland County, Pennsylvania, more particularly bounded and described as follows: BEGINNING at a point on the southern right of way line of r4agaro Road, which point represents the intersection of the northeastern corner of Lot #5 and the northwestern corner of Lot #6 of the plan of lots hereinafter described; proceeding from such point Nort~i eighty-seven degrees twenty minutes zero seconds East (N 87° 20' 00" E} two hundred one and twenty-six hundredths feet Bt10K x.25 PAGE s8~ ,~~'r°" . (201.26') along the right of way line of Magaro Road to a point on the dividing line between Lot #6 and lands now or formerly of Ronald Magaro t.o a point; thence along said dividing line South seven degrees fifty-four minutes t.went.y-eight seconds West (S 07° 54' 28" W) five hundred seventy-three and sixty-eight liuzzdredths feet (573.68') to a point; thence Nortli eighty-seven degz.ees Lift.y-- three minutes thirty-two seconds West (N 87° ~~3' 32" W) one liund~: ed seventy-seven and forty-one hund~: edtlz~; f ~e1 (177 . 41' j -.zl ~~r.ig tLe ~I~- dividing line between Lot #6 and Lot #3 on said plan. of lots to a pint; thence North twenty-one degrees forty-four minut.e>s eight - ~I~ ~f p p t tr seconds East (N 21 44 08 E) one hundred sixty-four azid seve~nty- '~ two hundredths feet (164.72') along the dividing ].ine~ l.;F~t:cac~et~ Lut #6 and Lot #5 on said plan of. lots to a f~oi.nt.; tl~r-_~ncc_ Idu~ tli T~;~_ac degrees twenty-four minutes fifty-two seconds West (N 04'' 24' ~~2" W) two hundred ninety-five and sixty-eight. hundredths feet (295.68') along said dividing line to a poizai:; l.lienc~ North t-weni_y degrees thirty-seven minutes thirty-eight seconds East- (i1 20~ 37' 38" E) forty-four and ninety-four hundredths feet (44.94') ~.c~ a i~~ point; thence North one degree zero minutes eighteen seconda East. ``0,1~ 00' 18" E) sixty-two and forty-seven hundredths feet a7-!a)alonQ said dividing line to the place of BEGINNING. ~_K . ~. BEING Lot #6 on the final subdivision plan of lots for Azzdrew Magaro prepared by Michael C. D'Angelo, Registered Surveyor, cJ.at.E~d September 22, 1978 and recorded in the Office of the Reco.rde~_ of Deeds in and for Cumberland County in Plan Look 34 at Page 96. CONTAINING 2.21 acres. HAVING thereon erected a brick acid aluzn:irzum bi-level dwelling house with detached block garage known and nwnberecl as 602 riagaro Road, Enola, Pennsylvania. SUBJECT to rights of way in the line of title. BEING THE SAME PREMISES which Andrew E. Magaro and Bevf~rly M. Magaro, husband and wife, by their Deed acknowledged JuziF: 2~3; 197? and recorded June 21, 1979, in the Office of the Recorder ~.~C ~?~-~.>~1~.; for Dauphin County, Pennsylvania, in Deed Boob M-28, r~:~y~ 47~, ~ ~ .- granted an undivided one-half interest in tl-.iem=:F~J ~~F.::: ~~1- i 1~F: entireties and an undivided one-half interest in t.lir~i ~. f l~F.=~~ -_ ~ ~ unaa8rried daughter Michele C. Magaro as joint tenants ~a.i.11~ -~ ,: :; c~Jl,l~ -~~ of~'aurvivorship and not tenants in common, the Grri~.itor 1~.. ; ,~ ~ ~, . ,~~s~ -_ ~~~ THE PURPOSE of this Deed is to evidence on the r _.~c;~ ~.? ~.',~. ~:.,~,. at'~said Michele C. Magaro is n w married and her m-~i , ; :>,~ ~~ ;,~ ~_:_; - el a C. Landis . '~}/S ~io~ IS NbT Tr4XA-f3C~ . ~. TOGETHER with all and singular the buildings, improvements, ways, woods, waters, watercourses, rights, liberties, privileges, hereditaments and appurtenances to the same belonging or in anywise appertaining; and the reversion and reversions, remainder and remainders, rents, issues and profits thereof, and of every part and parcel thereof; AND ALSO all the estate, right, title, interest, use, possession, property, claim and demand whatsoever of the Grantor both in law and in equity, of, in, and to the premises herein- described and every part and parcel thereof with the appurtenances. TO HAVE AND TO HOLD all and singular tree premises herein- described together with the hereditaments and appurtenances unto the Grantee and to Grantee's proper use and benefit forever. AND the Grantor covenants that, except as may be herein set forth, they do and will warrant and forever defend the lands and premises, hereditaments and appurtenances hereby conveyed, against the Grantor and all other persons lawfully claiming the same or to claim the same. In all references herein to any parties, persons, entities, corporations, the use of any particular gender or the plural or singular number is intended to include the appropriate gender or number as the text of the within instrument may require. Wherever in this instrument any party shall be designated or referred to by name or general reference, suc h designation is intended to and shall have the same effect as if the words "heirs, executors, admini.str-at.or:7, persuiial or legal representatives, successors and assigns had been inserted after each and every such 4 a + +'w,a desi nation ~ ~k~ g . { , ~. ~~ ~,., ~~` " " ' IN WITNESS WHEREOF, the Grantors have hereun to set their h ~r ~ ~ and seals, the day and year above-written. << ' ~'~'~ ~ ,~ 1..~±.° ~y ~ Notarial Seal Zelda F. Bouder, Notary Public ~ ) ~ ul c.~ ,/~l~t - , ~ 4 :. a~ r ,_, . `7/1~~ ~ ~'"y ' ' +, "~. ~ ~ ~' ~'~ lower ANen T Cumberland Coun ,. ~" tY nmmissio+~ ~ -n~res Apnl 2Q 199P ANDREW E . MAGAR~~yy Y e c ~• S ~' ':"~ '~~ '~~• N~.r~~~'~"~}i2 ~,~+ I Notarial Seal Zelda F. Bouder, Notary Public lower ANen Twp., Cumberland County "•.4y Commission Expires April 2Q, 1998 Me: •?ber, Penrsyfvaria i4ssodatlon of Notaries ' Notarial Seal Zelda F. Bouder, Notary Public lower Allen Twp., Cumberland County w ~nmmissinn Fx~ires April 2t1. 199R A ri ijw 1 }'~ ~' r r + r ~` t?'1 LfJ BEVERLX M . MAGARf'f '~~~:;;,d`eiiiri;~°~`f~~: COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND •~ h On this ~U day of ~~~ 1995, before me, the subscribed official, personally appeare Andrew E. Magaro and Eeverly M. Magaro, husband and. wife, and Michele C. Landis, their daughter., known as Michele C. Magaro her single name prior to her marriage, known to me (or satisfactorily proven) to be the persons whose names are subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. WITNESS my hand and official seal the day and year aforesaid. r ` ,~1ff / ~ /~~ /'11 ~ ~L~ ` fir. ~. jj !'l/J / .~ S. / ' , ~ Notarial Seal A Zelda F Bouder, Notary Public Lower ANen Twp., Cumberland County My Commission Expires April 20, 1998 't :. ~ cn ~ fir !`- ~y ~ Member, Pe~syNaniaAssoaaton of Notaries ` fj '~ `,_ ~ ~ - D >- ~ ~ W F-- ~:; y ~ "- i _ LLl ~ .k~w•~ ~ ~ " ' ~' o CL ,-~ U E . ` .• Q. ~~ ' F_ ~., tin _ `~ is i ~:; c~ _ :{.~ ~~. cz. ~'.~ L7 - Q7 "oox 125 FncE 683 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS Recorded on this ~~ da of ./~~ ~' y ~ 199 in the Office of the Recorder of Deeds of the said Cou ty in Record Boots ~ ~,~- G' ~~~ Given under iy hand and official seal of the said Office on the date above written. ~~ Recorder The undersigned certifies that the precise address of the Grantee is : ~"~ I c'~.j-41-_ L~' to , ~t4~1~~~J ~'~' , ~- ° ; ,rr~ ~• 4 ~ ~. e~~ '~ '' A y * ~Jr~~?~ Y k~lt4~"YI~ Fn ty"y,,N~c. ~ Ali r '~ ~?, `t.Y' f ti`~rh~r ' /. r , w' a ~' .y ~1' •~ ~ ~IF~.m*~6i rr~'+~~C~~r . o~ ~, ~. /~ "T ~, ~ ( t o y for !3'rt?/+y,1 rr ~~ ~___%` 600K i.~•~ FAGF fi~~~ /~J- ~6 - ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280801 HARRISBURG, PA 17128-0801 MICHELE LANDIS 602 MAGARO RD COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE 03-03-2003 ESTATE OF MARGARO DATE OF DEATH 04-20-2002 FILE NO. 21 02-0648 COUNTY Cumberland ACN 101 REV-1b47 Ex (72-97) PC BEVERLY M ENOLA PA 17025 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: Register of Wills Cumberland County Courthouse Carlisle, PA 17013 CUT ALONG THIS LIN_E____________ b _ RETAIN LOWER PORTION FOR YOUR RECORDS a ________________________________ REV-1547 EX (06-97) PC NOTICE OF INHERITANCE TAX APPRAI$EMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF MARGARO BEVERLY M FILE NO. 21 02-0848 ACN 101 DATE 03-03-2003 TAX RETURN WAS: (®) ACCEPTED AS FILED (Q) CHANGED RESERVATION CONCERNING FUTURE INTEREST -SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 0.00 NOTE: To insure proper 2. Stocks and Bonds (Schedule B) (2) 0.00 credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) (3) 0.00 submit the upper portion 4. Mortgages/Notes Receivable (Schedule D) (4) 0.00 of this form with your 5. Cash/Bank Deposits/ Misc. Personal Property (Schedule E) (5) 0.00 tax payment. 6. Jointly Owned Property (Schedule F) (6) 90,997.02 7. Transfers (Schedule G) (7) 0.00 8. Total Assets (8) 90,997.02 APPRO VED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 5,305.00 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 84.92 11. Total Deductions (11) 5,389.92 12. Net Value of Tax Return (12) 85,607.10 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 0.00 14. Net Value of Estate Subject to Tax (14) 85,607.10 NOTE: If an assessment was issued previously, lines 14, 15 and /or 16, 17 and 18 will reflec t figures that include the total of ALL returns assessed to date. ASSES SMENT OF TAX: 15. Amount of Line 14 at Spousal rate 16. Amount of Line 14 taxable at Lineal/Class A rate 17. Amount of Line 14 taxable at Sibling rate 18. Amount of Line 14 taxable at CollaterallClass Brate 19. Principal Tax Due TAX CREDITS: (15) 0.00 X .00 0.00 (16) 85,607.10 X .045 3,852.32 (17) 0.00 X .12 0.00 (18) 0.00 X .15 0.00 (19) 3,852.32 PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID - AMOUNT PAID 07-17-2002 CD001424 22.52 427.87 01-11-2003 CD002036 0.00 3,401.93 TOTAL TAX CREDIT 3,852.32 BALANCE OF TAX DUE 0.00 INTEREST 0.00 TOTAL DUE ~ 0.00 * IF PAID AFTBR DATE INDICATBD, SEE R8V8RSE (IF TOTAL DUS IS L88S THAN $1, NO PAYNBNT I3 RBQUIRBD. FOR CALCULI-TION OF ADDITIONAL INTBREST. I8 TOTAL DUS IS REFL8CT8D AS A CREDIT (CR), YOII NAY 88 DU8 A REFUND. SEE RSV8RS8 SIDE OF T8I3 FORM FOR INSTRUCTIONS.) ~2-~d- ~~' BUREAU OF INDIVIDUAL TAXES IN-~R~7ANCE TAX DIVISION ,_._DE 280601 HARRISBURG, PA 17128-0601 REY-104 E% ~fP (O1-OS) JO -12-2003 COMDEPARTMENT OFPREVENUEAN A INHERITANCE TAX RECORD ADJUSTMENT INTLY HELD OR TRUST ASSETS MICHELE C LANDIS 602 MAGARO RD ENOLA PA 17025-1912 DATE 03 BEVERLY M ESTATE OF MARGARO DATE OF DEATH 21 02-0648 .....FILE NUMBER CUMBERLAND COUNTY 201-18-2257 SSN/DC p2128622 ACN Mount R~nittsd MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 FOR YOUR RECORDS ----- ------------------------ _ THIS LINE - RETAIN LOWER_ PORTION_____________________ CUT ALONG ------------------------------ ~~ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD ORDTART ST ASSETS ~ REV-1604 EX AFP (01-03) 03-12-2003 BEVERLY M DATE OF DEATH 04-20-2002 COUniY ESTATE OF MARGARO ACN ..., .,~ .a S.S/D.C. N0. 201-18-2257 CUMBERLAND 02128622 FILE nu. ~j ~~ ~ •- nu. ADMINISTRATIVE CORRECTtun ADJUSTMtn ~ a~+~~-" JOINT OR TRUST ASSET INFORMAT CIAL INSTITUTION: ALLFIRST FINANCIAL SERVICES ACCOUNT N0. 0057215049 FINAN TYPE OF ACCOUNT: ( ) SAVINGS CX) CHECKING ( ) TRUST C ) TIME CERTIFICATE DATE ESTABLISHED 08-28-1964 UR Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: .00 0.500 .00 _ 53.52 .00 X .45 .00 PAYMENT RECEIPT DATE NUMBER NOTE: TO INSURE PROPER CREDIT TO YO ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ADDRESS SHOWN ABOVE. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." DISCOUNT (+~ AMOUNT PAID INTEREST/PEN PAID (-~ TAX CREDIT PEN. .00 .00 tt IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL tn)c~cca~• ( IF TOTAL DUE IS LESS THAN SI, REVERSEESIDESOFETHISEFORM FORFINSTRUCTIONSg)REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE FLV-7470 EX (8-88) ~ r ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TgXES uno„ ^DEPT. 280601 INHERITANCE TAX EXPLANATION OF CHANGES REVIEWED BY BEVERLY M MARGgRO PhYI~IS HOCK FILE NUMBER ITEM 2102-0648 SCHEDULE ACN No. 02128622 EXPLANATION OF CHANGES ADJUSTED ABOVE ACN TO ZERO, REPORTED ON PR OBATE RETURN. ROW Pape 1